Study of Pembrolizumab with Chemotherapy and Hormone Therapy for Early-Stage ER+/HER2- Breast Cancer

Sponsor: Merck Sharp & Dohme LLC

Sponsor score: 40

ClinicalTrials ID:NCT03725059

This clinical trial is testing whether adding pembrolizumab to standard chemotherapy and hormone therapy before and after surgery can improve treatment outcomes for patients with early-stage estrogen receptor-positive, HER2-negative breast cancer.

Patient Parameters

Program Overview

The study aims to find out if pembrolizumab, when combined with chemotherapy before surgery and hormone therapy after surgery, is more effective than a placebo in treating early-stage estrogen receptor-positive, HER2-negative breast cancer. Researchers are looking at whether this combination can help achieve a complete response, meaning no signs of cancer, and improve event-free survival, which is the time patients live without the cancer returning or worsening.

Description

Participants in this study will receive 8 cycles of chemotherapy combined with either pembrolizumab or a placebo before undergoing surgery for breast cancer. After surgery, they will receive 9 more cycles of the study treatment along with hormone therapy for up to 10 years. Each treatment cycle lasts 21 days.

Eligibility Criteria

Inclusion Criteria

  • Have a confirmed diagnosis of localized invasive breast cancer of a certain size and stage.
  • Have estrogen receptor-positive, HER2-negative, Grade 3 breast cancer.
  • Provide a recent biopsy of the breast tumor for testing.
  • Have a good performance status, meaning they are fully active or have some restrictions but can still do light work.
  • Agree to use effective contraception during the study and for a specified time after the last treatment dose.
  • Have adequate organ function as determined by medical tests.

Exclusion Criteria

  • Have a history of lung inflammation requiring steroid treatment or current lung inflammation.
  • Have breast cancer with lobular histology or cancer in both breasts.
  • Have metastatic breast cancer or multiple tumors in different areas of the breast.
  • Have certain advanced stages of lymph node involvement.
  • Have breast cancer that is estrogen receptor-negative and progesterone receptor-positive.
  • Have had certain types of breast surgery before starting the study treatment.
  • Have another invasive cancer that is progressing or required treatment in the last 5 years, except for certain skin or cervical cancers.
  • Have an immune deficiency or are on long-term steroid therapy.
  • Have an active autoimmune disease requiring treatment in the past 2 years.
  • Have a history of active tuberculosis or an active infection needing treatment.
  • Have significant heart disease or a low heart function.
  • Have a history of HIV, hepatitis B, or active hepatitis C infection.
  • Have received prior treatment for breast cancer or certain immune therapies.
  • Have received a live vaccine recently.
  • Have severe allergies to study medications.
  • Are pregnant, breastfeeding, or planning to conceive during the study and for a specified time after treatment.

Locations

FACILITYZIPCITYSTATE
Southern Cancer Center, PC ( Site 8003)36526DaphneAlabama
Cancer Treatment Centers of America at Western Regional Medical Center ( Site 0001)85338GoodyearArizona
Arizona Oncology Associates PC- HOPE ( Site 8008)85704TucsonArizona
Cedars Sinai Medical Center Samuel Oschin Comp. Cancer Institute ( Site 0079)90048Los AngelesCalifornia
El Camino Hospital Cancer Center ( Site 0004)94040Mountain ViewCalifornia
Stanford Cancer Center ( Site 0072)94304Palo AltoCalifornia
UC Davis Comprehensive Cancer Center ( Site 0073)95817SacramentoCalifornia
University of Colorado, Anschutz Cancer Pavilion ( Site 0008)80045AuroraColorado
Baptist MD Anderson Cancer Center ( Site 0014)32207JacksonvilleFlorida
Southeastern Regional Medical Center, Inc. ( Site 0075)30265NewnanGeorgia

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